Your options if you have many missing or damaged teeth

People who have not followed adequate dental care for some years may have already lost most of their teeth and feel a little hopeless.

Sometimes they ask a dentist to remove the remaining teeth as they are often broken and have deep cavities.

It’s true that, sometimes, removal of the remaining teeth and replacing them with full dentures is the only option.

But more often there are other options available.

Some or all of the remaining teeth could be repaired and used in conjunction with a partial denture. While a full denture replaces all of the teeth on the upper or lower jaw, a partial denture replaces some of the teeth.

If only a few weak teeth remain on the upper jaw, it might be preferable to have them extracted and a full upper denture made. Full upper dentures can be more secure than lower ones as the upper denture gets added stability from the palate and is not easily dislodged by the tongue.

If only a few teeth remain on the lower jaw, however, the dentist will usually aim to save them and use a partial denture if necessary.

Ideally, all teeth that can be saved should be saved but this is not always possible – often due to finances.

In such cases, having teeth removed and dentures may be the only option.

How medication and anesthesia can help make your visit to the dentist easier

Your dentist will do everything possible to make your visit as relaxed and comfortable as possible.

Depending on the treatment you are receiving, there are several medications available to help.

Some drugs control pain, some help you relax and others put you into a deep sleep during dental treatment.

The best approach will depend on the type of procedure being undertaken, your overall health – including any history of allergies – and the degree of anxiety you feel.

Some of the options your dentist might discuss include:

Analgesics: These are the most commonly used drugs for relief of toothache or pain following dental treatment. They includes aspirin, acetaminophen and anti-inflammatory drugs such as Ibuprofen. There is a separate category of ‘narcotic analgesics’ – such as those containing codeine – which are used for more severe pain.

Local anesthesia: Topical anesthetics are applied to mouth tissues with a swab to prevent pain on the surface level. They may also be used to soothe mouth sores. Injectable local anesthetics prevent pain in a specific area of your mouth during treatment by blocking the nerves that sense or transmit pain and numbing mouth tissues.

In other cases, your dentist many recommend sedation or general anesthesia.

Your dentist will discuss the best approach to suit your needs.

What dentists are doing to improve services for older adults

As people are living longer and enjoying good health for many years, dentists are increasingly offering improved services to recognize the special needs of older adults.

This growing segment of the population is wearing fewer dentures and they are keeping their natural teeth longer. They are also concerned to maintain good health and a great smile for many years.

However, patients in this group sometimes require special consideration because reduced mobility and dexterity may make daily oral hygiene difficult.

And certain medical conditions and impairment may make them more anxious when visiting the dentist.

For example, problems with vision or hearing loss may cause worry. Always let the dentist and staff know if you have any concerns so that they can adjust their treatment and their pace to meet your needs.

Older patients can sometimes put up with problems such as toothaches, bleeding gums and clicking dentures because they are not aware of the wide range of treatments and techniques now available.

Dentists are increasingly sensitive to the special needs of and the importance of dental health in the older patient.

As many older patients are more health conscious than ever before, regular visits to the dentist ensure their oral health is an important part of their overall health.

What’s involved in getting a dental implant?

Dental implants are increasingly popular as a way to replace missing or damaged teeth.

Their great advantage is that they look natural and feel secure helping you to restore your smile and eat more easily.

Implants are an ideal solution for many people but they are not an option for everyone.

Placing implants requires some surgery so patients must be in good health, have healthy gums and have adequate bone to support the implant.

They must also be committed to taking action to maintain their oral hygiene and to visiting the dentist regularly.

The process for placing implants is as follows:

First, surgery is performed to place the anchor. This can take up to several hours. Following the surgery, you may need to wait up to six months for the bone to grow around the anchor and firmly hold it in place. Sometimes follow up surgery is required to attach a post to connect the anchor to the replacement teeth. Alternatively, the anchor and post may already be attached and are placed at the same time.

After the gums have had several weeks to heal, the next step is to fit specially-made artificial teeth to the post portion of the anchor. This can take a few weeks to complete as several fittings may be required.

Implant surgery can be done either in a dental office or in a hospital, depending upon a number of factors. A local or general anesthetic may be used. Usually pain medications and, when necessary, antibiotics are prescribed.

After your implants are fitted, your dentist will give you tips and advice on maintaining your oral hygiene.

Your dentist can help you decide whether you would be a good candidate for implants.

How sugar in your diet affects your teeth

The sugar content in the food you eat has a big effect on your teeth and gums.

When bacteria (plaque) come into contact with sugar in the mouth, acid is produced, which attacks the teeth for 20 minutes or more. This can eventually result in tooth decay.

That's why drinking sugar-filled sodas, sweetened fruit drinks, and non-nutritious snacks can take a toll on teeth.

This is particularly true for children as their eating patterns and food choices affect how quickly they develop tooth decay.

Foods that contain sugars of any kind can contribute to tooth decay. However, almost all foods, including milk or vegetables, have some type of sugar. Many of them also contain important nutrients that are an important part in our diet.

To help control the amount of sugar you consume, read food labels and choose foods and beverages that are low in added sugars. Soft drinks,candy, cookies and pastries often contain added sugars.

Tips on choosing the best dentist for you

Choosing the right dentist for your needs is one way to give you the best chance of maximizing your oral health.

If you don’t already have a dentist – or want to find one better suited to your needs – here are a few points to consider.

– Get recommendations from family, friends, neighbors or co-workers

– Ask your physician or a local pharmacist

– If you are moving to a different area, ask your current dentist for recommendations in your new location

– Contact the local or state dental society

Effective dental care depends on a great relationship between the dentist and the patient so you may want to visit more than one before making your decision.

To help decide if a dentist is right for you, consider:

Is the office easy to get to from your home or job?

Are the staff helpful and friendly?

Does the office appear to be clean, tidy and well organized?

Is the appointment schedule convenient for you?

What arrangements are made for handling emergencies outside of office hours?

Does it cater for any special needs you have?

As you’ll need to work closely with your dentist in caring for your oral health, it’s worth taking time to ask questions and take notes to make sure you choose the right one for your needs.

Whats involved in getting a dental implant?

Dental implants are increasingly popular as a way to replace missing or damaged teeth.

Their great advantage is that they look natural and feel secure helping you to restore your smile and eat more easily.

Implants are an ideal solution for many people but they are not an option for everyone.

Placing implants requires some surgery so patients must be in good health, have healthy gums and have adequate bone to support the implant.

They must also be committed to taking action to maintain their oral hygiene and to visiting the dentist regularly.

The process for placing implants is as follows:

First, surgery is performed to place the anchor. This can take up to several hours. Following the surgery, you may need to wait up to six months for the bone to grow around the anchor and firmly hold it in place. Sometimes follow up surgery is required to attach a post to connect the anchor to the replacement teeth. Alternatively, the anchor and post may already be attached and are placed at the same time.

After the gums have had several weeks to heal, the next step is to fit specially-made artificial teeth to the post portion of the anchor. This can take a few weeks to complete as several fittings may be required.

Implant surgery can be done either in a dental office or in a hospital, depending upon a number of factors. A local or general anesthetic may be used. Usually pain medications and, when necessary, antibiotics are prescribed.

After your implants are fitted, your dentist will give you tips and advice on maintaining your oral hygiene.

Your dentist can help you decide whether you would be a good candidate for implants.

Oral cancer: Why early detection is so important

Although thousands of Americans die every year from oral cancer, there is a high chance it can be cured if it is caught early enough.

Each year, more than 30,000 Americans are diagnosed with oral cancer and only half of those diagnosed survive more than five years.

But nowadays, dentists have the skills and tools to ensure that early signs of cancer and pre-cancerous conditions are identified.

If it is caught early, there is a much higher chance that, with your dentists help, you could win a battle against oral cancer.

The key is to know the early signs and see your dentist regularly.

Oral cancer often starts as a tiny, unnoticed white or red spot or sore anywhere in the mouth.

It can affect any area of the oral cavity including the lips, gum tissue, cheek lining, tongue or the palate.

Other signs include:

– A sore that bleeds easily or does not heal
– A change in the color of the oral tissues
– A lump, thickening, rough spot, crust or small eroded area
– Pain, tenderness, or numbness anywhere in the mouth or on the lips
– Difficulty chewing, swallowing, speaking or moving the jaw or tongue
– A change in the way the teeth fit together

Oral Cancer most often occurs in those who use any form of tobacco. Smoking combined with alcohol use greatly increases the risk.

However, oral cancer which is most likely to strike after age 40 can occur in people who do not smoke and have no other known risk factors.

Diets with a lot of fruits and vegetables may help prevent its development.

Oral cancer screening is a routine part of a dental examination so regular checkups with an examination of the entire mouth are essential in the early detection of cancerous and pre-cancerous conditions.

How space maintainers help children have healthy teeth

Space maintainers can be crucial to the dental health of a child.

When a child loses a baby tooth early through decay or injury, the other teeth can shift and begin to fill the vacant space.

If this happens, the problem is that, when the permanent teeth emerge, there’s not enough room for them.

This can lead to crooked or crowded teeth and difficulties with chewing or speaking.

To prevent that, the dentist can insert a space maintainer.

This holds the space left by the lost tooth until the permanent tooth emerges.

Space maintainers might be a band or a temporary crown attached to one side of the space.

When the permanent tooth emerges, the dentist removes the device and protects the child’s future smile.

Taking steps to stop oral cancer before its too late

Oral cancer hits more than 30,000 Americans every year but you can minimize the risk by taking steps to ensure its caught early enough.

The first indications of oral cancer may be a very small, but dangerous, oral spot or sore that you are not even aware of.

In a routine examination, your dentist will carefully examine the inside of your mouth and tongue.

If they notice a flat, painless, white or red spot or a small sore, this may be completely harmless. But harmful spots or sores often look the same as harmless ones.

To ensure that a spot or sore is not dangerous, your dentist may choose to perform a simple test, such as a brush test. This collects cells from the lesion which can them be analyzed.

Any positive results from a brush test must usually be confirmed by a biopsy before deciding the next step.

If precancerous cells are found, the lesion can be surgically removed if necessary during a separate procedure.

When caught early enough, the chances of preventing the cancer developing are high but only half of those diagnosed survive more than five years.

That's why regular dental examinations are so important for your overall health and not just to have good teeth.

Different types of fillings and restorations

Nowadays, thanks to advances in dental techniques and materials, patients have a much wider range of choices when they have to repair missing, worn, damaged or decayed teeth.

For example, materials such as ceramics and polymer compounds that look more like natural teeth help dentists create pleasing, natural-looking smiles.

The traditional materials such as gold, base metal alloys and dental amalgam are still widely used as they have many advantages.

The strength and durability of traditional dental materials continues to make them useful in many situations. For example, they are good when fillings are required in the back teeth because the pressure of chewing is high in that area.

The choice of the best option will depend on several factors such as the patient’s oral and general health, where and how the filling is placed and the number of visits needed to prepare and adjust the restored tooth.

The choice about which option is best depends on each individuals needs so you should discuss the options with your dentist.

Choosing the right toothbrush for your needs

It would be easy to get overwhelmed by the huge range of dental care products now available.

Even looking just at toothbrushes present a wide range of choices.

There are hundreds of manual and powered toothbrushes to choose from.

Start by looking for products that carry the American Dental Association Seal of Acceptance – this is an important symbol of a the product’s safety and effectiveness.

When you buy a toothbrush, replace it every three to four months. Replace it sooner if the bristles become frayed as a worn toothbrush will not clean your teeth properly.

Make it easy for your children to brush their teeth by choosing a child-sized toothbrush and make it more interesting for them by selecting fun colors and designs.

Often people who have difficulties with hand, arm or shoulder movements find that powered toothbrushes are the best choice. However, it’s also possible to make a few small changes to modify a manual toothbrush and make it easier to use.

For example, you can:

– Enlarge the handle with a sponge, rubber ball, or bicycle handle grip
– Lengthen the handle with a piece of wood or plastic
– Bend the handle slightly while running it under hot water

Your dentist will give you tips on what toothbrushes would be right for your needs.

Daily dental tips to cut down on plaque

Plaque is a sticky film of bacteria that forms on teeth and gums. If you let it build up on your teeth, it can lead to several problems.

The best way to remove plaque from the tooth surfaces is by brushing and cleaning between your teeth every day.

You should brush your teeth twice a day, with a soft-bristled brush. The brush should fit your mouth comfortably, allowing you to reach all areas easily.

When you use toothpaste that contains fluoride, this helps protect your teeth.

You can help even more by cleaning between the teeth once a day with floss or interdental cleaners. This removes plaque from between the teeth in areas the toothbrush can’t reach.

By taking a few steps each day to look after your teeth – and visiting your dentist regularly, you’ll be able to enjoy healthy teeth and a great smile all your life.

The secrets of avoiding gum disease as an older adult

Gum disease also known as periodontal disease often progresses slowly, without pain, over a long period of time and thats one reason it is common among older adults.

The longer the disease goes undetected and uncontrolled, the more damage it causes to gums and other supporting tissues.

Although periodontal disease is caused by plaque, other factors can increase the risk or severity of the condition, including:
– Food left between the teeth
– Tobacco use smoking and smokeless tobacco
– Badly aligned teeth
– Ill-fitting bridges or partial dentures
– Poor diet
– Systemic diseases such as anemia

Although periodontal disease is common, it can be controlled and, if caught in its early stages, it can be reversed. However, in advanced stages, it may require surgery.

Look out for the following warning signs and see your dentist if you notice any of them:
– Bleeding gums when you brush
– Red, tender or swollen gums
– Gums that have pulled away from the teeth
– Pus between your teeth and gums when the gums are pressed
– Loose teeth or teeth moving apart
– Any change in your bite
– Any change in the fit of your partial dentures
– Constant bad breath or bad taste

Keeping an eye out for these problems and having regular dental checkups can help you stop gum disease becoming a major and expensive problem.

The facts about oral cancer

Oral cancer is not as well known as other types of cancer but it can represent a life-threatening risk if not identified early.

– It strikes an estimated 35,000 Americans each year
– More than 7,500 people (5,200 men and 2,307 women) die of these cancers each year
– More than 25% of Americans who get oral cancer will die of the disease
– On average, only half of those diagnosed with the disease will survive more than five years
– African-Americans are especially vulnerable; the incidence rate is 1/3 higher than whites and the mortality rate is almost twice as high

Although the use of tobacco and alcohol are risk factors in developing oral cancer, approximately 25% of oral cancer patients have no known risk factors.

There has been a nearly five-fold increase in incidence in oral cancer patients under age 40, many with no known risk factors.

The incidence of oral cancer in women has increased significantly, largely due to an increase in women smoking. In 1950 the male to female ratio was 6:1; by 2002, it was 2:1.

The best way to prevent oral cancer is to avoid tobacco and alcohol use.

Unusual red or white spots can form in and around the mouth. These are often harmless but they can be cancerous or pre-cancerous.

Identifying and removing these early enough is a major factor in reducing the incidence of cancer.

So knowing the risk factors and seeing your dentist for regular examinations can help prevent this deadly disease.

What’s involved in getting a dental implant?

Dental implants are increasingly popular as a way to replace missing or damaged teeth.

Their great advantage is that they look natural and feel secure helping you to restore your smile and eat more easily.

Implants are an ideal solution for many people but they are not an option for everyone.

Placing implants requires some surgery so patients must be in good health, have healthy gums and have adequate bone to support the implant.

They must also be committed to taking action to maintain their oral hygiene and to visiting the dentist regularly.

The process for placing implants is as follows:

First, surgery is performed to place the anchor. This can take up to several hours. Following the surgery, you may need to wait up to six months for the bone to grow around the anchor and firmly hold it in place. Sometimes follow up surgery is required to attach a post to connect the anchor to the replacement teeth. Alternatively, the anchor and post may already be attached and are placed at the same time.

After the gums have had several weeks to heal, the next step is to fit specially-made artificial teeth to the post portion of the anchor. This can take a few weeks to complete as several fittings may be required.

Implant surgery can be done either in a dental office or in a hospital, depending upon a number of factors. A local or general anesthetic may be used. Usually pain medications and, when necessary, antibiotics are prescribed.

After your implants are fitted, your dentist will give you tips and advice on maintaining your oral hygiene.

Your dentist can help you decide whether you would be a good candidate for implants.

How dentistry has developed over the last 300 years

When you visit a modern dental surgery, it’s hard to imagine the challenges of dental treatment without all the latest technology.

Yet specialists have been taking care of people’s teeth for thousands of years.

Here are some of the key developments over the last 300 years.

1723: French surgeon Pierre Fauchard – credited as being the father of modern dentistry – publishes the first book to describe a comprehensive system for the practice of dentistry.

1760: John Baker, the earliest medically-trained dentist to practice in America, immigrates from England and sets up practice.

1790: John Greenwood adapts his mother’s foot treadle spinning wheel to rotate a drill.

1790: Josiah Flagg, a prominent American dentist, constructs the first chair made specifically for dental patients.

1832: James Snell invents the first reclining dental chair.

1841: Alabama enacts the first dental practice act, regulating dentistry in the United States.

1844: Horace Wells, a Connecticut dentist, discovers that nitrous oxide can be used as an anesthesia and successfully uses it to conduct several extractions in his private practice.

1880s: The collapsible metal tube revolutionizes toothpaste manufacturing and marketing.

1890: Willoughby Miller notes the microbial basis of dental decay in a book which started a world-wide movement to promote regular toothbrushing and flossing.

1896: New Orleans dentist C. Edmond Kells takes the first dental x-ray of a living person in the U.S.

1938: The nylon toothbrush, the first made with synthetic bristles, appears on the market.

1945: The water fluoridation era begins when the cities of Newburgh, New York, and Grand Rapids, Michigan, add sodium fluoride to their public water systems.

1950s: The first fluoride toothpastes are marketed.

1960: The first commercial electric toothbrush, developed in Switzerland after World War II, is introduced in the United States. A cordless, rechargeable model follows in 1961.

Taking care of removable partial dentures

If you have removable plastic dentures, it’s important to look after them carefully.

You should brush them each day to remove food deposits and plaque. This also helps prevent them from becoming permanently stained.

It’s best to use a brush that is designed for cleaning dentures as it has bristles arranged to fit the shape of the denture. But a regular, soft-bristled toothbrush is also acceptable.

Avoid using a brush with hard bristles as these can damage the denture.

When you are handling a denture, hold them carefully. Try standing over a folded towel or a sink of water with them in case you accidentally drop them.

It’s advisable to use a denture cleanser which has the American Dental Association seal of acceptance. However hand soap or mild dishwashing liquid are also acceptable for cleaning dentures.

Other types of household cleaners and many toothpastes are too abrasive and should not be used for cleaning dentures.

A denture can lose its proper shape if it is not kept moist. So it should be placed in soaking solution or water at night though one with metal attachments could be tarnished if placed in soaking solution.

As you age, your mouth naturally changes, which can affect the fit of the denture so, if they no longer fit properly, they should be adjusted by your dentist.

See your dentist promptly if your denture becomes loose as this can cause sores or infections.

Don’t try to adjust or repair your denture yourself as this can damage the appliance beyond repair.

When you wear a partial denture, you need to continue brushing twice a day and cleaning between your teeth daily. This will help prevent tooth decay and gum disease.

Pay special attention to cleaning the teeth that fit under the denture’s metal clasps. Plaque that becomes trapped under the clasps will increase the risk of tooth decay.

Your dentist or dental hygienist can demonstrate how to properly brush and clean between teeth.

Regular dental check-ups and having your teeth professionally cleaned are vital for maintaining a healthy smile.

What is plaque and how does it affect your teeth?

Plaque is a sticky film of bacteria that covers our teeth and, when we eat something, these bacteria release acids that attack the tooth enamel.

When these attacks are repeated over time, the enamel will break down and this will eventually lead to cavities.

When plaque is not removed through daily brushing and cleaning it hardens into calculus or tartar. When tartar collects above the gum line, brushing and cleaning between the teeth becomes more difficult.

The gum tissue can become swollen or may bleed. This is called gingivitis and it is the early stage of periodontal (gum) disease.

There are several steps you can take to protect yourself against this happening:

– Brush your teeth twice a day with fluoride toothpaste
– Clean between teeth daily with floss or an interdental cleaner
– Eat a balanced diet and limit the number of snacks between meals
– Visit your dentist regularly for professional cleanings and oral exams
– Ask your dentist about sealants – these are protective coatings that can be applied to the back teeth where decay often starts.

If you take steps to remove the plaque each day, you have a greater chance of avoiding tooth and gum problems.

Fixing crowded and crooked teeth with orthodontics

Correcting problems with crowded and crooked teeth not only gives you a better smile, it also leads to a healthier mouth.

Malocclusion, also known as “bad bite”, involves teeth that are crowded or crooked.

Sometimes, the upper and lower jaws may not meet properly and, although the teeth may appear straight, the individual may have an uneven bite.

Problems such as protruding, crowded or irregularly spaced teeth may be inherited. But thumb-sucking, losing teeth prematurely and accidents also can lead to these conditions.

As well as spoiling your smile, crooked and crowded teeth make cleaning the mouth difficult. This can lead to tooth decay, gum disease and possibly tooth loss.

A bad bite can also interfere with chewing and speaking, cause abnormal wear to tooth enamel and lead to problems with the jaws.

Orthodontic treatment can help correcting these problems giving you a better smile but, more importantly, creating a healthier mouth.

Your dentist will advise you on how orthodontic treatment could help you.